The impact of supportive intervention after second trimester termination of pregnancy for fetal abnormality

The reactions of women who had had a termination of pregnancy for fetal abnormality in the second trimester have been studied retrospectively using a semi‐structured questionnaire. The severity of the grief reaction was measured and the outcome at 6months was compared with the findings from a previo...

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Veröffentlicht in:Prenatal diagnosis 1991-01, Vol.11 (1), p.47-54
Hauptverfasser: Elder, S. H., Laurence, K. M.
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container_title Prenatal diagnosis
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Laurence, K. M.
description The reactions of women who had had a termination of pregnancy for fetal abnormality in the second trimester have been studied retrospectively using a semi‐structured questionnaire. The severity of the grief reaction was measured and the outcome at 6months was compared with the findings from a previous study in South Wales which had led to the introduction of skilled support from genetic fieldworkers and formal genetic counselling after the termination. Of the 69 women interviewed, 55 (80 per cent) experienced an acute grief reaction and 17 (25 per cent) had not resolved their grief 6 months after the termination, compared with 37 (77 per cent) and 22 (46 per cent) out of 48 respectively in the previous study. Fifty‐seven (83 percent) women had found the fieldworker's intervention useful or very useful, some describing her support as essential. An association between poor resolution of the grief reaction with increasing maternal age and with poor perceived support from partners was noted. Improved follow‐up support and counselling have lessened the adverse emotional consequences and support should therefore be offered to all women undergoing termination for fetal malformation.
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source Wiley-Blackwell Journals; MEDLINE
subjects Abortion, Therapeutic - psychology
Adult
Bereavement counselling
Biological and medical sciences
Counseling
Female
Fetus - abnormalities
Grief
Grief reactions
Gynecology. Andrology. Obstetrics
Humans
Management. Prenatal diagnosis
Maternal Age
Medical sciences
Parity
Population
Pregnancy - psychology
Pregnancy Trimester, Second
Pregnancy. Fetus. Placenta
Psychological traumata
Retrospective Studies
Social Support
Termination of pregnancy
Wales
title The impact of supportive intervention after second trimester termination of pregnancy for fetal abnormality
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